| Monroevilledentalassociatesllc | |
|
136 Ridge St N Suite C Monroeville OH 44847-9469 | |
| (419) 465-2574 | |
| (419) 465-2598 |
| Full Name | Monroevilledentalassociatesllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 136 Ridge St N, Monroeville, Ohio |
| Authorized Official Name and Position | George Lee Trask (DENTIST) |
| Authorized Official Contact | 4194652574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroevilledentalassociatesllc 136 Ridge St N Suite C Monroeville OH 44847-9469 Ph: (419) 465-2574 | Monroevilledentalassociatesllc 136 Ridge St N Suite C Monroeville OH 44847-9469 Ph: (419) 465-2574 |
| NPI Number | 1306011408 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306011408 | NPI | - | NPPES |
| 2678526 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30018914 (Ohio) | Primary |
Family Health Services Of Erie County Dental Clinic Medicare: Medicare Enrolled Practice Location: 101 West St Rm 340, Monroeville, OH 44847 Phone: 419-502-2800 Fax: 419-508-2821 |